{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:53:30Z","timestamp":1791298410964,"version":"4.1.0"},"reference-count":16,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:p>Introduction\u00a0: L\u2019autod\u00e9pistage du VIH peut \u00e9largir l\u2019acc\u00e8s au d\u00e9pistage, notamment chez les populations peu reli\u00e9es aux structures sanitaires. Au Mali, le r\u00f4le des pharmacies priv\u00e9es demeure peu \u00e9tudi\u00e9. Cette \u00e9tude examine la perception des professionnels d\u2019officine et l\u2019acceptabilit\u00e9 chez leurs clients afin d\u2019\u00e9clairer son int\u00e9gration en pharmacie. M\u00e9thode\u00a0: Cette \u00e9tude mixte a \u00e9t\u00e9 men\u00e9e \u00e0 Bamako du 7 au 28 f\u00e9vrier 2022. Douze pharmaciens ont \u00e9t\u00e9 interrog\u00e9s lors d\u2019entretiens semi-structur\u00e9s, et 501 clients de pharmacies ont r\u00e9pondu \u00e0 un questionnaire structur\u00e9. Les donn\u00e9es qualitatives ont \u00e9t\u00e9 analys\u00e9es avec NVivo 14 et les donn\u00e9es quantitatives avec SPSS et R. Une r\u00e9gression logistique multivari\u00e9e a identifi\u00e9 les facteurs associ\u00e9s \u00e0 l\u2019acceptabilit\u00e9 (volont\u00e9 de payer pour un autotest). R\u00e9sultats\u00a0: L\u2019\u00e2ge moyen des clients \u00e9tait de 31,6\u00a0ans (67,1\u00a0% d\u2019hommes). La majorit\u00e9 ne connaissaient pas leur statut VIH (76,7\u00a0%) et n\u2019avaient jamais entendu parler de l\u2019autod\u00e9pistage (91,6\u00a0%). Au total, 62,1\u00a0% des clients ont d\u00e9clar\u00e9 \u00eatre pr\u00eats \u00e0 payer pour un autotest VIH. En analyse multivari\u00e9e, les facteurs ind\u00e9pendamment associ\u00e9s \u00e0 l\u2019acceptabilit\u00e9 \u00e9taient\u00a0: le milieu urbain (ORa = 2,15\u00a0; IC95\u00a0%\u00a0: 1,28\u20133,61), le niveau universitaire (ORa = 3,28\u00a0; IC95\u00a0%\u00a0: 1,68\u20136,40), la profession de fonctionnaire\/\u00e9tudiant (ORa = 2,52\u00a0; IC95\u00a0%\u00a0: 1,34\u20134,74), la connaissance de son propre statut VIH (ORa = 2,91\u00a0; IC95\u00a0%\u00a0: 1,18\u20137,18), le fait d\u2019avoir d\u00e9j\u00e0 entendu parler de l\u2019ADVIH (ORa = 4,22\u00a0; IC95\u00a0%\u00a0: 2,38\u20137,48), la participation \u00e0 une s\u00e9ance de sensibilisation (ORa = 2,68\u00a0; IC95\u00a0%\u00a0: 1,42\u20135,06), la r\u00e9alisation d\u2019un test VIH r\u00e9cent (ORa = 2,95\u00a0; IC95\u00a0%\u00a0: 1,55\u20135,61) et la pr\u00e9f\u00e9rence pour les deux types d\u2019autotest (ORa = 1,85\u00a0; IC95\u00a0%\u00a0: 1,02\u20133,35) (tous p &lt; 0,05). L\u2019\u00e2ge, le sexe, l\u2019exposition au risque VIH et la connaissance du statut du partenaire n\u2019\u00e9taient pas significatifs apr\u00e8s ajustement. Le prix moyen acceptable \u00e9tait de 2\u00a0134 FCFA (~3,5 USD). Les pharmaciens percevaient l\u2019autod\u00e9pistage comme une strat\u00e9gie confidentielle facilitant l\u2019acc\u00e8s au d\u00e9pistage, tout en soulignant des d\u00e9fis li\u00e9s au co\u00fbt, \u00e0 la disponibilit\u00e9 et \u00e0 l\u2019information du public. Discussion\u00a0: Les pharmacies priv\u00e9es apparaissent comme un point d\u2019acc\u00e8s pertinent pour la mise \u00e0 l\u2019\u00e9chelle de l\u2019ADVIH au Mali. Une strat\u00e9gie graduelle, incluant renforcement des capacit\u00e9s, communication cibl\u00e9e et r\u00e9gulation claire, est n\u00e9cessaire.<\/jats:p>","DOI":"10.3917\/spub.263.0227","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:49Z","timestamp":1791297169000},"page":"227-236","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions des pharmaciens et acceptabilit\u00e9 de l\u2019autod\u00e9pistage du VIH en pharmacie priv\u00e9e \u00e0 Bamako, Mali\u00a0: une \u00e9tude mixte"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Samuel Kabor\u00e9","family":"Delwend\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliette","family":"Tranchot-Diallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia Christiana","family":"Kon\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragoss","family":"Ouedraogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Th\u00e9r\u00e8se","family":"Kagon\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul Salam","family":"Ouedraogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramata","family":"Traor\u00e9-Ou\u00e9draogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. ONUSIDA. Agissons maintenant pour combattre les profondes in\u00e9galit\u00e9s et mettre fin aux pand\u00e9mies \u2013 Rapport mondial 2020. Gen\u00e8ve : Joint United Nations, Programme on HIV\/AIDS ; 2020."},{"key":"rb2","unstructured":"2. ONUSIDA. The path that ends AIDS : UNAIDS Global AIDS Update 2023. Gen\u00e8ve : Joint United Nations, Programme on HIV\/AIDS ; 2023. 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